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PIC No. Should be 2 letters & 6 numbers. PIC No. are a legal requirement, your membership will be cancelled if not correct.

PIC No. (Must be 2 letters & 6 numbers for membership to be accepted) *

MCDC has an official photographer, if you don't wish to have your picture used please tick

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please use an alternative email address.

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Primary Member must be an Adult/18+. Children/under 18 memberships can be added on the next page.

Aged pension membership is for members over 65 years.
Please choose another membership type or correct your date of birth.

EA number does not match member name.

To be eligible for this membership, a doctors certificate/para classification/RDA associate membership must be provided to the club to receive a code to apply for this membership type. Please type code in below.

Mt Crawford Dressage Club Inc.

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